BLACKBIRD BEHAVIORAL HEALTH
NPI 1245748722
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oak Park, IL

Active since January 18, 2018
715 LAKE ST STE 410, OAK PARK, IL 60301(708) 209-8987 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2018, Jan 18, 2018 (2 updates tracked since 2018).

About Blackbird Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKBIRD BEHAVIORAL HEALTH (NPI 1245748722) is a healthcare organization registered as a mental health (including community mental health center) in Oak Park, Illinois and active in the NPI registry since January 2018. The organization lists Sharon K Black, Director, as its authorized official.

NPPES Registry Identity

NPI1245748722
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLACKBIRD BEHAVIORAL HEALTH, PC
Location Address715 LAKE ST STE 410Oak Park, IL 60301-1413
Mailing Address633 Carpenter AveOak Park, IL 60304-1104 · (708) 209-8987
Organization SubpartNo
Authorized OfficialSharon K BlackDirector · (708) 209-8987
Enumeration DateJanuary 18, 2018
Last NPPES UpdateMarch 26, 20182 updates tracked since enumeration
NPI 1245748722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
715 LAKE ST STE 410, Oak Park, IL 60301

Other Names 1

Doing Business AsBlackbird Behavioral Health

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
715 LAKE ST STE 410
OAK PARK, IL 60301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackbird Behavioral Health, PC's NPI number?

The NPI number for Blackbird Behavioral Health, PC is 1245748722. It was assigned to this organization in the NPPES registry on January 18, 2018. The provider is doing business as Blackbird Behavioral Health.

Where is Blackbird Behavioral Health, PC located?

Blackbird Behavioral Health, PC is located at 715 Lake St Ste 410, Oak Park, IL 60301. The listed phone number is (708) 209-8987.

What is Blackbird Behavioral Health, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Blackbird Behavioral Health, PC was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.